Dynamic Supination-flexion Splinting for the Postoperative Management of Distal Biceps Injuries

Abstract

Distal biceps tendon rupture injuries are traditionally treated with a bulky long arm brace following repair of the tendon. The length of time a patient wears this can vary, depending on the injury. However, the patient is usually in this large brace for 4-8 wks and the elbow angle, for extension, is gradually increased. Supination and pronation are usually in a static neutral position. Fequently patients complain of the brace "migrating, being hot, it is cumbersome, and causes overall arm stiffness". These authors have designed a lighter weight brace that also allows for dynamic supination and flexion of the forearm while healing.